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Dishman Mica S 611 Fire Damage Repair-Change of Use (Auto Repair) BUILDING PERMIT APPLICATION WORKSHEE PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU RST . ~ (Please return this origlnal and your bullding plans to the Department of Building and Safety) r T t Owner'a Name paat) (first) (►n) iiewment Use Only l 0 4 ' rirwLLL7n~ ~ E SLP f) R96 I Comm 2 Prolect Addren (nal Malling Add►eee) a Road Neme SPace ZiP 1 a~► (~1.~ -D-Labm~►'►~1 ~ e..~ Q G 2~ 3 Gty/Cortxnunity ate SubdivlalonlPlat Name f 4 Paroel No. Lot Block n ~ L+ 1w ♦ * t DEPARTMENT USE ONLY ~ ,t • ~.,r~ ~ G / 5 SIc Code Zons N Zone Project No & r • RT g p~l III No. oi Bulldlnqs Sq. Fl.lAcre Depth Frontage 1 / . 2_3 7 SM Back-Front (L)S-1 1(R)S-2 T Rsw Gbnsus Tract Module No. Initlals C~~W ~ 16 Mchitect Flrm Name Street Addresa ~ Zip Gty State Phone ( ) Contsct Person Phone If different than above ( ) Contrector Flrm Name Street Addrea Zip pty 3tate PAone ( 1 Contact pSrSDn Lloense No. Phone Ii different than above I 1 9 Owner/Apenl (If different than N1 abOve) Bueinees Address g Zip City State Phone c f 12 Review Required Plan Check (YIN) Other (YlN) SEPA Ezempt (YlN) Qate 15 Type Work EIdg Fl MH Cl New R@pleCe -piher t~f~Fire I7 pemo f 1 Add/Alter Move • 11 Dewribe Work 1100, . Elg~'g~ OlCdMSaff j= a,<,icl &,Iv 10 Applfcant Name Street Address Cll~ ~ 0 .5- -Y2 / 11 21p i State Phone ~ " , ~C-1 y,-q 'l/ Lender Street Addreas Zip City Stete Phone ( ti C,ontact Pe►son Phone if different than above r ► Addltiorial Information r. r+ DERARTMENT APPRO1IALS This is nvt a Permit i~ . Applica#i4n Type (Startdard unl$ss {lndicated approvals requlred iri ei#her, "release' or "release with conaitlons" otherwise Indicated) 3pace prlar to permit laauance.} Fast Track ~ ~ Early $tart R~I~~s~ RBIease rnrJcond I He#d 2 ~ _ . . , Enrrironmentu[ Fiealth p Gommercisl; 0 Residentlal W. 1101 CoIlege El New Constfuction; 0 Bldg aftsralfvnFadditfan Raorn 200 0 Additwanal atructure; AppLNCArrON # ~ ConditionsIConnmerrta: . ~ ~ PlannlnplZonirg: Q Commerclal, 0 Cer#, of Exempt€nn; F-I Frflntage; ` N. 721 Jefferaan CJ Setbacka; 0 1ot wf d; 0 lo# size; ❑ uselxons; _ El CIJ, varianoe, zane change; ahoreline; 0 #ence; ❑ Other Candit€ansf Carnments: y ~ ~ ErrQlrtesrs: 0Cammercial; 17 Reaidenliai; QFlood Plain; N . 811 Jei#erson C drafnage 17 new acceaalapproach; ❑ fence; O rvad fmprovernents Con di t ion31Ca m m ent s: -Utilities: - ~ N. 811 Jefferson ConditiansfCommen#s: ~ Other. ~ Plan Exarn I Ffre Prev. ' Cvndittons lCvmments: ~ ~ ~ Praject Repreaentatpve Telephane ~ Agencles Perforrning Special Inspectlon~ - ~ ~c o ~ E F L L+~. ~ LL 41 . _ 1 Irxikete above nr attach condltion: relative ta Hnal a: bullt approvaf - 2 Indlcate shova or ■t#ach ressons for hold , l ~ t r ~ L / 0-t~~ . ~ ~ • ,r ~ ~ ~E 1 t , • ~ ~ , . i ~ ~ l, ; ~ , ~ _ _ . - - . ~ ~ . Iw ~ i ~ . y! * . + 1 + f1 . ~ ~ ` s , ~ /~r ~ C)bv7~~ t - ~ 7 ~ , ~ J ~ . ~ ; ~ / i 'i ~ r • ~ish u r- - _ , ~ ' RpAp NAME i N0. PA42~E:. r~O. 2 OS4 Z-~ rro. 5 N O T t(: E T O T H E P t1 B L I 6E,s?.gosE KNOW ALL MEN BY THESE PRESENTS, That Larry G. Bunker and Arl ene Y. Bunker being the owners of the following described lands in consideration of mutual benefits to be hereafter derived do for themselves, their heirs, grantees and assiqns, hereby w agree: ~ F-~ To authorize the County to place their name(s) on a petition for the formation of a ULID by petition method pursuant to RCW 36.94 which the petition includes the Owners property and further not to object by the signinq of a protest petition against the formation of a ULID by resolution method pursuant to RCW Chapter 36.94, which includes the Owner(s) property. PROVIDED, this condition shall not prohibit the Owner(s) or Successor(s) from objection to any assess- ment(s ) on the property as a resul t of improvements cal l ed for in conjunction with the formation of a ULID by either petition or resolution method under RCW Chapter 36.94. This statement involves the following described property: That portion of the Southwest Quarter (SWQ) of the Northwest Quarter (NW'-4) of Section 20, Township 25 North, Range 44 East, W.M. in the County of Spokane, State of Washinqton, beinq more particularly described as follows: Commencinq at the intersection of the Southerly right-of-way line of Fourth Avenue #1292 and the Easterly right-of-way line of Dishman-Mica of Dishman- Mica Road a distance of 312.44 feet to the point of beginninq; thence continuina South 22°15 East alonq said right-of-way line a distance of 111.74 feet; thence North 89°32' East a distance of 210.7 feet; thence North 0°28' West a distance of 100.0 feet; thence North 89°,32' East a distance of 29.(} feet; thence North 23°25' West a distance of 107.86 feet; thence South 67°45' West a distance of 257.50 feet to the point of beqinninq. SUBJECT T0: 1. Restrictions anci easements of record. These requirements are and shall run with the land and shall be binding unon the Owner(s), their heirs, successors or assigns. Dated this rK day o f ' 19 . S 43 j n ~ ~ _ " Countv neer , r t 'C , ,~;,_.....•5..~ v . ^lG-z--•-`-~~-~_ - + a5 L / n. ;~►~~i Ava110~ n►, ~ r xxx .~~0~~N%~p~UNrr, WASH. Court riouse fi ~ ss iZeq STATE OF WASHINGTON COUNTY OF SPOKANE , On this ~day of ~ 19& , before my personally appeared ~ perso ifKlly known to me to be t~e'indivi ual s descri ed herein who ex uted the foregoing instrument and ackno ledqed the said instrument to be the free and volun- tary act and deed of said individual(s), for the uses and purposes herein mentioned. IN WITNESS WHEREOF, I have set my hand and affixed my official seal this day and year first above written. 7 7~ ; otary Pub ic, a or th Sta e of Washinqton, residing in R/W 1/1/85 !~lShn~n„J~1nA aGFr r. ' RpAD NI►ME i N0. 8~~~~~~01 ~•i . ' > NO 5 PA12~~: FrJ. _ . : . ` NOTIC:E TO THE Pt1BLI6~)p .noSE '&&~ KNOW ALL MEN BY THESE PRESENTS, That Larry G. Bunker and Arlene Y. Bunker - ~ being the owners of the following described lands in consideration of mutual benefits to be hereafter derived do for themselves, their heirs, qrantees and assiqns, hereby w agree: W To authori Ze the County to pl ace thei r name(s ) on a peti tion for the formation of a ULID by petition method pursuant to RCW 36.94 which the petition includes the Owners property and further not to object by the siqninq of a protest petition against the formation of a ULID by resolution method pursuant to RCW Chapter 36.94, which includes the Owner(s) property. PROVIDED, this condition shall not prohibit the Owner(s) or Successor(s) from objection to any assess- ment(s) on the property as a result of improvements called for in conjunction with the formation of a ULID by either petition or resolution method under RCW Chapter 36.94. This statement involves the following described property: That portion of the Southwest Quarter (SW'4) of the Northwest Quarter (NW14) of Section 20, Township 25 North, Range 44 East, W.M. in the County of Spokane, State of Washington, beinq more particularly described as follows: Commencinq at the intersection of the Southerly right-of-way line of Fourth Avenue #1292 and the Easterly right-of-way line of Dishman-Mica of Dishman- Mi ca Road a di stance of 312.44 feet to the poi nt of begi nni ng; thence conti nui na South 22°15 East alonq said right-of-way line a distance of 111.74 feet; thence North 89°32' East a distance of 210.7 feet; thence North 0°28' West a distance of 100.0 feet; thence North 89°.32' East a distance of 29.0 feet; thence North 23°25' West a distance of 107.86 feet; thence South 67°45' West a distance of 257.50 feet to the point of beqinninq. SUBJECT T0: 1. Restrictions and easements of record. These requirements are and shall run with the land and shall be binding unon the Owner(s), their heirs, successors or assigns. Dated thi s~- day of - 19 ~ L_ r~, ~ t,: - I - Countx Epgineer , , r .v. • ,~~---~.-•r ~ r ~ X - WiLL10k L: ~'011"IUc / Atl a 1 f ACi xxx WASH. ~f, o4~~W~ MN ~R e q C o u r t E i u u s e STATE OF WASNINGTON ) ~ COUNTY OF SPOKANE ~ ss On this #day of ~ 190,50', before my personally appeared ~ ~perso lly known to me to be t e individual s descri ed herein wh ex uted the fore9oin9 instrument and ackno~ledqed the said instrument to be the free and volun- tary act and deed of said individual(s), for the uses and purposes herein mentioned. IN WITNESS WHEREOF, I have set my hand and affixed my official seal this day and year fi rst above wri tten. otary ub ic, 64 a or th Sta e of Washington, residing in R/W 1/1/85